Information
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Customer - Jobsite Name:
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Scope of work to be completed by K&D Construction:
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Location:
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Conducted on
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K & D Onsite Supervisor:
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Audit Conducted By:
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Date of last audit - This Job, This Job Site (Location):
1. Administration
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1.1. Have employees completed AEP Annual orientation and have hard hat stickers for Documentation?
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1.2. Has site Supervision completed OSHA 30 hour training and all additional so completed OSHA 10 Hour training?
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1.3 are there at least 2 K&D employees trained in First Aid and CPR?
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1.4 Does the contractor have qualified and competent Supervision at the site?
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1.5 is the PSSEP readily available and updated as needed
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1.6 Are Safety Data Sheets (SDS/MSDS) readily available and employees aware of the technology or the location?
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1.7 Are adequate First Aid supplies including eye wash and blood borne pathogen kit available?
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1.8 Is there a documented emergency action plan on-site? (Plan includes emergency contacts, maps to the nearest hospital, communication methods and procedures to follow in the event of an emergency.)
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1.9 Has the Emergency Action Plan been reviewed by employees and route driven to the hospital?
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1.10 Is the K&D Safety Manual readily available?
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1.13 Is equipment grounded where needed and maintaining the minimum approach distances?
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1.11 Are employees who might be subject to fall hazards trained in fall protection in order to minimize these hazards?
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1.12 Other
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1.14 Is equipment inspected daily and in satisfactory condition?
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1.15 Is a designated spotter in place and safe work distance maintained to structures, equipment,and overhead hazards?
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1.16Is the weight of the load verified and equipment/rigging rated for the load?
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1.17 Is the load properly secured and equipment in use not left unattended?
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1.18 Is the rigging equipment inspected prior to use and protected from sharp edges?
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1.19 Are the operators properly trained and deemed competent/qualified to operate equipment?
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1.20 Is a fire extinguisher available on all equipment?
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1.21 Have employees completed a truck load/unloading checklist for all materials being loaded and unload where equipment or rigging is required to assist in moving the material?
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1.22 Are pole handling guidelines Followed?
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1.23 OTHER
2. CRANES (Check N/A if none apply to current job)
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2.1 Do cranes have a record of annual inspection and pre-use inspection?
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2.2 Are all safety devices functioning properly and in use as required? (Anti-two block, load limit charts, boom angle indicator, back up alarm, horn Eric.)
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2.3 Do all signalman/riggers have documented training?
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2.4 Is the swing radius on equipment is barricaded?
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2.5 Is the crane supported and level with outriggers extended and cribbing (3X area of the float?
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2.6 Are tag lines in use and employees protected from overhead loads?
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2.7 Has a trial lift/proof test been performed prior to use of personnel platforms?
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2.8 OTHER
3. EXCAVATIONS
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3.1 Has a competent person performed a documented inspection prior to entry for each shift and when conditions change? (Rain, thaw, etc.)
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3.2 Have utilities been located and marked?
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3.3 Is egress provided within 25' for excavation depths 4' or greater?
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3.4 Are employees entering excavations/trenches 5' or greater protected from cave in? (Sloped, shored, or shielded)
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3.5. Are spoils and equipment at least 2' from the edge of the excavation?
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3.6. Are excavations barricaded when left unattended?
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3.7. Are drilled excavations appropriately protected? ( Fall protection, barricades, etc.)
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3.8. Is contractor utilizing fall protection at appropriate height? (Harness, lanyard, fall limiters, guard rails, etc.)
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3.9. Are open holes properly covered? (Covers capable of supporting 2 times the intended load, labeled "hole" and secured to prevent displacement)
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3.10. Does the contractor have a rescue/retrieval plan in place?
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3.11 OTHER
4. Hand and Power Tools (Check box if none apply to current job)
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4.1 Are hand and power tools in good working condition and free of defects (Broken handles, cracked frames, damaged cords, etc.) with required safety guards in place?
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4.2 Are employees using the right tool for the right job? (Meets mfg. intent)
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4.3 Are pneumatic hose connections secured with cable restraint devices? (Whip checks)
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4.4 Are extension cords in good condition and protected from traffic and damage?
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4.5 Is the contractor utilizing and relying on personal GFCI for all cords?
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4.6 OTHER
5. HOUSEKEEPING
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5.1 Is potable water and adequate toilet and wash facilities available?
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5.2 Are form and scrap lumber with protruding nails and other debri kept clear from all work areas?
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5.3 Are containers provided for collection of all refuse and waste disposed of at frequent intervals?
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5.4 Is spill containment and/or spill kit available?
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5.5 Are compressed gas cylinders properly stored? (Upright, secured, valve cap in place)
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5.6 Are flammable liquids properly labeled and stored in approved containers?
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5.7 Is fire extinguisher within proper distance to flammable storage? (25' to 50')
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5.8 Are all fire extinguishers charged and inspected?
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5.9 Is fuels storage free of combustible materials with "No Smoking" signs conspicuously posted?
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5.10 Has contractor addressed potential slips/trips/falls? (Walk areas clear and free of ruts, snow/ice removal, etc.)
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5.11 OTHER
6. LADDERS AND STAIRS
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6.1 Is a ladder or stairs provided for access break exceeding 19"?
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6.2 Are stairways with 4 or more risers or rising more than 30" equipped with one handrail and 1 stair rail along each unprotected edge/side?
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6.3 Are ladders inspected and in good condition and rating labels intact?
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6.4 Is step ladder fully open and spreader lock engaged?
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6.5 Is extension ladder setup properly? (4:1 pitch extended 3' over landing and secured to prevent displacement)
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6.6 OTHER
7. LIVE LINE TOOLSb.
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7.1 Are all insulated tools and PPE properly stored?
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7.2 Are all insulated tools and PPE visually inspected prior to use and in good condition?
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7.3 Are all insulated tools and materials stamped with current dielectric test dates? (Hot sticks-2yrs.,Rubber Gloves-6mo., Sleeves and Blankets-12mo.)
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7.4 OTHER
8. PERSONAL PROTECTIVE EQUIPMENT
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8.1 Are all employees wearing at a minimum a hard hat, ANSI approved safety glasses w/side shields, safety toed shoes, and a high visibility reflective shirt/vest as the outer most layer?
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8.2 Are employees working "on or near" energized lines and equipment wearing appropriate rated FR Clothing? (Minimum of 8cal/cm2 as the outermost layer)
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8.3 Are employees wearing gloves appropriate for the hazard? ( Leather, cut resistant, dielectric, etc.
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8.4 Are employees exposed to flying particles/chemical splash wearing a face shield? (Cad-welding, grinding, chainsaw, battery handling, etc.)
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8.5 Are employees exposed to arc during welding activities wearing a welding hood?
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8.6 Is all protruding reinforced steel, onto and into which employees could fall, guarded to eliminate the hazard of impalement?
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8.7 Is additional PPE in use as required? (Hearing protection, respirators, metatarsal protection, chaps, etc.)
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8.8 Are all employees wearing appropriate fall protection when required?
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8.9 OTHER
9. Substation
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9.1 Did the contractor report into dispatch?
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9.2 Are all employees (including subcontractors) station entry trained or escorted?
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9.3 Is substation gate closed and locked or under the observation of an attendant at all times?
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9.4 Is substation construction signage posted for hazards? (Under construction, open excavations, etc.)
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9.5 Has the contractor received documented approval for excavations and utilizing approved digging methods?
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9.6 OTHER
10. TASK HAZARD ANALYSTS
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10.1 Has the contractor performed a documented THA that list the step-by-step plan for the task, hazards associated with task and control measures to mitigate hazards?
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10.2 Has the contractor conducted a THA review with all visitors and briefed them on scope of work and hazards in the work area?
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10.3 Have all employees reviewed and signed the THA prior to work and immediately after lunch and/or significant break?
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10.4 Are confined enclosed spaces identified and listed on the THA?
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10.5 OTHER
11. WIRE PULLING
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11.1 Is Wire Pulling Plan documented, readily available, and updated as needed?
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11.2 Are radio communications in use and echo communication protocols being followed?
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11.3 Are guard structures erected where needed and energized lines properly protected?
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11.4 Is wire pulling/stringing/tensioning equipment barricaded, bonded, and grounded with EPZ mats in place?
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11.5 Is equipment rigging inspected and rated for required pull and tension?
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11.6 Is a 3:1 distance maintained to first and last structure?
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11.7 Are there running grounds on both ends if needed and ground travelers at all hot crossings?
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11.8 Is there a person assigned to follow swivel or sock thru structure?
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11.9 Have required permits been obtained for any public road crossings?
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11.10 OTHER
12. WORKING ON OR NEAR ENERGIZED EQUIPMENT
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12.1 Are lines and equipment de-energized, tested, and grounded?
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12.2 Are employees maintaining appropriate approach distances?
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12.3 Are energized facilities covered or guarded to prevent contact?
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12.4 Do the foreman and crew know and understand the clearance points?
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12.5 Do the foreman and crew know who holds the clearance, non-recluse order or hold order for the facilities being worked?
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12.6 Has the contractor been advised of equipment under an NRO?
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12.7 Have all sources of energy been considered including induced voltage?
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12.8 Are grounds in good condition with proper clamps tagged with test date not exceeding 2 years.
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12.9 OTHER
13. WORK PLATFORMS (Aerial Lifts, Trucks, Crane Baskets, etc.)
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13.1 Is the gate or chain secured and nothing used to increased height? ( Working from floor of basket/platform)
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13.2 Is equipment adequately grounded and maintaining safe work distances?
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13.3 Is personal fall in use and secured to proper for anchorage points?
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13.4 Does the operator have training and documented daily inspection?
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13.5 Is equipment operated on a level surface loaded properly and within load capacity limits?
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13.6 Is Qualified Observer/Spotter utilized to ensure MAD is maintained for tight spaces or when operators view is obstructed?
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13.7 Does equipment have current dielectric test?
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13.8 OTHER
14. WORK ZONE PROTECTION
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14.1 Are workers properly protected from vehicle traffic? (Signs, cones,flagging operations, etc.)
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14.2 Are overhead lines marked with signs?
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14.3 Does Contractor have a documented traffic control plan in place?
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14.4 OTHER
COMMENTS AND SUGGESTIONS
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COMMENTS:
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Signature of person receiving audit review:
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Signature of person completing audit:
